St Marys Hospital Decatur Of The Hospital Sisters Of The Third Order
Specialty details in registry · Decatur, IL
At a glance
1800 E Lake Shore Dr, Decatur, IL 62521-3810
NPPES record updated Oct 31, 2024. Public records can lag behind changes at a practice.
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Practice location
1800 E Lake Shore DrDecatur, IL 62521-3810
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 275N00000X
- Enumeration date
- Oct 10, 2006
- Record updated
- Oct 31, 2024
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
275N00000X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1800 E Lake Shore DrDecatur, IL 62521-3810
- Phone
- (217) 464-2966
- Fax
- (217) 464-1609
Mailing address
3051 HOLLIS DRSPRINGFIELD, IL 627047450
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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